MR. RANDY MARLON PELLEW FNP
NPI 1447642400
Nurse Practitioner - Family in New Hyde Park, NY
About Mr. Randy Marlon Pellew Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RANDY MARLON PELLEW FNP (NPI 1447642400) is an individual family provider in New Hyde Park, New York, licensed in New York (339366) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in South Ozone Park, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Randy Marlon Pellew Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Randy Pellew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Jamaica, NY 11423
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 1,054 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Bronx Medical Practice PC
- 1,013 clinicians in this Medicare group
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Randy Pellew's NPI number?
The NPI number for Randy Pellew is 1447642400. It was assigned to this individual provider in the NPPES registry on February 28, 2015.
Where is Randy Pellew located?
Randy Pellew practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-7310.
What is Randy Pellew's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Randy Pellew enrolled in Medicare?
Yes. Randy Pellew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Randy Pellew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Pellew reassigns Medicare benefits to 5 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Essen Medical Associates,pc (Jamaica, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY) and Brookview Medical Associates, PLLC (Bohemia, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randy Pellew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Randy Pellew was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Randy Marlon Pellew, FNP · NPI 1447642400
Family physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since February 28, 2015.
## Identity
- **NPI:** 1447642400 (Entity type: Individual)
- **Enumerated:** February 28, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 339366 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 27005 76TH AVE, New Hyde Park, NY 11040-1402
- **Phone:** (718) 470-7310
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Essen Medical Associates,pc (NPI 1700023926, Jamaica, NY); House Call Medical Services Of New York, PLLC (NPI 1851345946, Bronx, NY); Bronx Medical Practice P.C. (NPI 1356726087, Bronx, NY); Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1447642400) · Data from the CMS NPPES public registry.